Maria M Hudgins Family Child Care Home

Regulation: 3290.113(a)

Description: Supervised at all times

Noncompliance Area: During an unannounced inspection on Wednesday, 05/13/26, cert rep observed the operator leaving the child care space, leaving children in care unsupervised.

Correction Required: Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The requirement for supervision on and off the facility premises includes compliance with the staff:child ratio requirements in §§ 3290.51-3290.52 (relating to maximum number of children; and staff:child ratio).

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: During an unannounced inspection on Wednesday, 05/13/26, cert rep observed a cat present at the facility without a veterinarian's certificate of current rabies immunization on file.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: During an unannounced inspection on Wednesday, 05/13/26, cert rep observed a person at the facility that was not a household or staff member.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During unannounced inspection on Wednesday, 05/13/26, cert rep observed cleaning materials in the bathroom accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3290.74(a)

Description: Requirements

Noncompliance Area: During an unannounced inspection on Wednesday, 05/13/26, cert rep observed items in the child care space that were not toys, day care materials or day care equipment, causing possible tripping and falling hazards to children.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play area, shall be kept clean, in good repair and free from visible hazards.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: In review of fire safety documents, facility failed to conduct a fire drill within 60 days. The last documented fire drill was conducted on 01/12/26.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: In review of fire safety documents, facility failed to test their smoke detectors once every 30 days. The last documented testing was conducted on 12/07/25.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3290.105(a)

Description: Clean, age appropriate

Noncompliance Area: During renewal inspection on Tuesday, 11/18/25, cert rep observed rest equipment used by children in care failed to be labeled with their names.

Correction Required: Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the parent and the operator. The rest equipment must be labeled with the child's name and used only by the named child while enrolled in the program.

Regulation: 3290.111(a)/3290.111(b)

Description: Written plan/Posted in area used by parents

Noncompliance Area: During renewal inspection on Tuesday, 11/18/25, cert rep observed at the facility failed to have a written daily scheduled with daily routine and activities. Plans also failed to be posted at facility in an area accessible to parents.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: In review of children's files, child 1 and 2, enrolled 6 months or more, failed to have a service report providing information about the child's growth and development.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e).

Regulation: 3290.124(e)/3290.181(c)

Description: Updated every 6 months/Emergency info/agreement updated 6 mos

Noncompliance Area: In review of children's files, child 1 and 3's emergency contact information and fee agreement failed to be updated once in a 6-month period.

Correction Required: The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Regulation: 3290.131(b)(2)/3290.182(1)

Description: Updated toddler/preschool health report: every 12 months/Initial and subsequent health assessments

Noncompliance Area: In review of children's file, child 1, a preschooler, file failed to have an updated health report. Health report contained in child's 1 file was last completed on 09/10/24.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record must contain initial and subsequent health reports.

Regulation: 3290.131(d)(5)/3290.131(e)(3)

Description: Immunization record/Dismissal policy

Noncompliance Area: In review of children's files, child 2, enrolled more than 60 days, file failed to include documentation of updated Hep B and Rotavirus vaccinations and child 3, enrolled more than 60 days, file failed to include documentation of updated Hep A vaccination, as required based on the child's age, per the ACIP recommended schedule.

Correction Required: A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

Regulation: 3290.134(a)/3290.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: During renewal inspection on Tuesday, 11/18/25, cert rep observed a staff person and child failed to wash their hands after a diaper change and before meals was served.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3290.151(a)(2)/3290.192(2)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: In review of staff files, staff person 1's file failed to include an updated health assessment. Health assessment included in file was last completed on 11/01/19.

Correction Required: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: In review of health and safety documentation, facility failed to have a policy addressing signs and symptoms of shaken baby syndrome and abusive head trauma and the prevention and identification of child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.22(a)

Description: Availability of certificate of compliance and applicable regulations

Noncompliance Area: During renewal inspection on Tuesday, 11/18/25, cert rep observed facility failed to have the regional OCDEL contact information posted at the facility in an area accessible to parents.

Correction Required: The facility's current certificate of compliance shall be posted in a conspicuous location used by parents, with instructions for contacting the appropriate regional child care office posted at the same location.

Regulation: 3290.24(b)

Description: Emergency plan

Noncompliance Area: In review of emergency plan documents, facility's emergency plan failed to be annually reviewed by the operator.

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. Each review and update of the emergency plan shall be documented in writing and kept on file at the facility.

Regulation: 3290.24(c)/3290.192(4)

Description: Training regarding plan/Required training

Noncompliance Area: In review of emergency plan documents, staff person 1 had not been trained on the facility's emergency plan at the time of the renewal inspection on Tuesday, 11/18/25.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: In review of emergency plan documents, facility failed to have conducted an annual drill on the facility's emergency plan.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: In review of emergency plan documents, facility failed to have verification that a copy of plan was sent to the local municipality and the county's emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: In review of staff files, staff person 1 failed to have completed 12 hours of annual professional development. File contained 6 hours of annual training.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.63

Description: Protective Outlet Covers 5 yrs. or less

Noncompliance Area: During renewal inspection on Tuesday, 11/18/25, cert rep observed a surge protector located in the main child care space, that is accessible to children 5 years of age and younger, failed to have protective receptacle covers.

Correction Required: Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

Regulation: 3290.64(a)

Description: Locked or inaccessible - in original container

Noncompliance Area: During renewal inspection on Tuesday, 11/18/25, cert rep observed cleaning materials in the bathroom accessible to children.

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Regulation: 3290.72

Description: Emergency Numbers Posted

Noncompliance Area: During renewal inspection on Tuesday, 11/18/25, cert rep observed facility failed to have emergency numbers posted by the telephone in the faiclity.

Correction Required: The telephone number of the nearest hospital, police department, fire department, ambulance and poison control center shall be posted by each telephone in the facility.

Regulation: 3290.73(c)

Description: Has all items

Noncompliance Area: During renewal inspection on Tuesday, 11/18/25, cert rep observed facility's first-aid kit failed to contain gauze and gloves.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Regulation: 3290.94(a)(1)

Description: Every 60 days

Noncompliance Area: During renewal inspection on Tuesday, 11/18/25, facility failed to have conducted a fire drill was at least once every 60 days. The last documented fire drill was conducted on 12/10/24.

Correction Required: Fire drills are conducted at least once every 60 days.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: In review of fire safety documents, facility failed to have tested their smoke detection system once every 30 days and document testing.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in subsection (a) are met.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: In review of children's files, child 1, enrolled 6 months or more, failed to have a service report proving information about the child's growth and development.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e).

Regulation: 3290.123(b)/3290.182(8)

Description: Parent receives original/Copy of initial and subsequent agreements. Parent receives original.

Noncompliance Area: In review of children's files, child 1 file failed to include an agreement between the parent and facility.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement. A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Regulation: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: In review of children's files, child 1 file failed to include the emergency contact information.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3290.124(b)(4)/3290.182(3)

Description: Written consent/Consent for emergency medical care required prior to admission

Noncompliance Area: In review of children's files, child 1 file failed to have parental signed consent for emergency medical care

Correction Required: Emergency contact information must include the written consent signed by a parent for emergency medical care. A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.131(a)/3290.182(1)

Description: Within 60 days/Initial and subsequent health assessments

Noncompliance Area: In review of children's files, child 1, enrolled more than 60 days, file failed to have a health assessment.

Correction Required: The operator shall require the parent of an enrolled child to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record must contain initial and subsequent health reports.

Regulation: 3290.134(a)/3290.152

Description: Child's hands washed/Adult Hygiene

Noncompliance Area: During renewal inspection on Tuesday, 11/26/24l, cert rep observed a staff and child failed to wash their hands after a diaper change.

Correction Required: A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered. A facility person shall wash his hands before meals and snacks, and after toileting and after diapering a child.

Regulation: 3290.151(c)(2)/3290.192(2)

Description: Mantoux TB/Health assessment, TB test

Noncompliance Area: In review of staff files, staff person 1 file failed to include TB results.

Correction Required: An adult health assessment shall include Tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, CRNP, the Department of Health or a local health department. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.166(4)/3290.166(6)

Description: Bottles labeled/Infant/toddler - no bottle in mouth to sleep

Noncompliance Area: During renewal inspection on Tuesday, 11/26/24, cert rep observed bottles failed to be labeled with child's name and toddlers sleeping with sippy cups.

Correction Required: Disposable nursers and bottles shall be labeled with the child's name. Neither an infant nor a toddler is permitted to sleep with a bottle in his mouth.

Regulation: 3290.181(a)

Description: Each child

Noncompliance Area: In review of children's files, children present at the facility failed to have a file.

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Regulation: 3290.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: In review of children's files, child 1 file failed to have signed parental consent for administration of minor first-aid procedures.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3290.182(6)

Description: Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: In review of children's files, child 1 file failed to have parental signed consent for transportation and walking excursions.

Correction Required: A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3290.24(a)(5)

Description: Emergency plan

Noncompliance Area: In review of facility's emergency plan, emergency plan failed to provide accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Correction Required: The facility shall have an emergency plan that provides for accommodations of infants and toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3290.32(a)

Description: Comply with CPSL

Noncompliance Area: During renewal inspection on Tuesday, 11/26/24, cert rep observed a person at the facility, while children were receiving care, who was not a household member or staff.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Regulation: 3290.52(2)

Description: One infant, four toddlers

Noncompliance Area: During renewal inspection on Tuesday, 11/26/24, cert rep observed facility out of ratio. There was 1 related infant, 2 unrelated toddlers, 3 related toddlers and 1 related preschooler.

Correction Required: The operator may provide care to no more than five related and unrelated infants and toddlers at any one time. No more than two related and unrelated infants may receive care at any one time. If one infant is in care, four toddlers are permitted.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: In review of fire safety documents, facility failed to have tested their smoke detection system once every 30 days. The last documented testing was on 04/10/24.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Regulation: 3290.111(a)/3290.111(b)

Description: Written plan/Posted in area used by parents

Noncompliance Area: During renewal inspection on Wednesday, 11/29/23, cert rep observed facility failed to have a written daily schedule outlining daily activities and routines. Plan also failed to be posted in area accessible to parents.

Correction Required: A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group. The written plan of daily activities and routines shall be posted in a traffic area used by parents.

Regulation: 3290.117(c)

Description: Vet's certificate required

Noncompliance Area: During renewal inspection on Wednesday, 11/29/23, facility failed to have verification of current rabies immunization for a cat present at the facility.

Correction Required: A veterinarian's certificate of current rabies immunization is required for a cat or dog at the facility. The certificate shall be on file when the cat or dog is present.

Regulation: 3290.123(a)(3)

Description: Services provided

Noncompliance Area: In review of children's files, child 1 enrolled 6 months or more failed to have a service report proving information about the child's growth and development.

Correction Required: An agreement shall specify the services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. the operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information at § 3290.124(e).

Regulation: 3290.123(b)

Description: Parent receives original

Noncompliance Area: In review of children's files, child 1 and 2 files failed to include a copy of the agreement between the enrolling parent/guarding and the operator.

Correction Required: A parent shall receive the original agreement. The facility shall retain a copy of the agreement.

Regulation: 3290.124(a)

Description: Each child emergency contact person

Noncompliance Area: During renewal inspection on Wednesday, 11/29/23, cert rep observed facility failed to have emergency contact information for children receiving care.

Correction Required: Emergency contact information is required for each enrolled child. Emergency contact information must reference who shall be contacted in an emergency.

Regulation: 3290.124(d)

Description: Written emergency plan posted

Noncompliance Area: During renewal inspection on Wednesday, 11/29/23, cert rep observed facility failed to have a written plan identifying the means of transporting a child to emergency care and staffing provisions, posted at the facility and accompany a staff person while transporting children.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Regulation: 3290.131(b)(1)/3290.182(1)

Description: Updated infant health report: every 6 months/Initial and subsequent health assessments

Noncompliance Area: In review of children's file, child 1, a young toddler, file failed to have an updated health report. Health report contained in child's 1 file was last completed on 01/13/23.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record must contain initial and subsequent health reports.

Regulation: 3290.151(a)(2)/3290.192(2)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: In review of staff files, staff person 1 file failed to include an updated health assessment. Health assessment included in file was last completed on 11/01/19.

Correction Required: A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3290.171/3290.182(6)

Description: Transportation Consent/Signed parental consent for transportation, walking excursions, swimming and wading

Noncompliance Area: In review of children's files, children who were transported in the facility's vehicle, files failed to contain parent's signed written consent for transportation.

Correction Required: The operator shall obtain written consent from the parent for transportation by the facility staff. A child's record must contain signed parental consent for transportation, walking excursions, swimming and wading.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: In review of health and safety documents, staff person 1 had not completed health and safety professional development training updates required by OCDEL within the prescribed timeframe of 12/30/22.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Staff person 1 will have until 12/29/23 to complete the required training. Until such time as the required training has been completed, staff person 1 must be supervised, when interacting with children, by an AGS, at minimal, who has completed the required training related to this citation. If there are no staff available to supervise staff person 1, staff person 1 may not work in a child-care position at the facility.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: In review of health and safety documentation, facility failed to have a policy addressing signs and symptoms of shaken baby syndrome and abusive head trauma and the prevention and identification of child maltreatment.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: Staff person 1 was observed to be caring for children unsupervised. Staff person 1 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 11/1/19.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required trainings are completed, staff person 1 must be supervised, when interacting with children, by a (AGS, primary staff person, or family child care home staff person) who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person 1, staff person 1 may not work in a child care position at the facility.

Regulation: 3290.18

Description: General Health and Safety

Noncompliance Area: In review of emergency plan documents, facility's emergency plan failed to include statement regarding continuity of operations.

Correction Required: Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3290.182(3)

Description: Consent for emergency medical care required prior to admission

Noncompliance Area: In review of children's files, child 1 and 2 file failed to contain parent's signed consent for emergency medical care.

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Regulation: 3290.182(5)

Description: Consent for administration of minor first-aid required prior to admission

Noncompliance Area: In review of children's files, child 1 and 2 file failed to contain parent's signed written consent for administration of minor first-aid.

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Regulation: 3290.24(c)/3290.192(4)

Description: Training regarding plan/Required training

Noncompliance Area: Staff person 1 had not been trained on the facility's emergency plan at the time of the renewal inspection on Wednesday, 11/29/23.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.24(d)

Description: Emergency plan

Noncompliance Area: In review of emergency plan documents, facility failed to have conducted an annual drill on the facility's emergency plan.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3290.24(g)

Description: Emergency plan

Noncompliance Area: In review of emergency plan documents, facility failed to have verification that a copy of plan was sent to the local municipality and the county's emergency management agency.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3290.31(f)/3290.192(4)

Description: Age and training/Required training

Noncompliance Area: In review of staff files, staff person 1 failed to have completed 12 hours of annual professional development.

Correction Required: A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include records of training required by the Department.

Regulation: 3290.32(a)/3290.192(3)

Description: Comply with CPSL/CPSL information

Noncompliance Area: In review of staff files, staff person 1 file failed to include DHS FBI clearance, NSOR certificate and updated mandated reporter training. Mandated reporter training included in file was last completed on 02/11/17.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person 1 may not work in a child care position at the facility.

Regulation: 3290.32(d)

Description: Age and training

Noncompliance Area: During renewal inspection on Wednesday, 11/29/23, cert rep observed a staff person caring for children with expired certification in pediatric first-aid/CPR.

Correction Required: One or more facility persons competent in pediatric first-aid and pediatric cardiopulmonary resuscitation techniques shall be at the facility when one or more children are in care.

Regulation: 3290.94(a)(1)/3290.94(a)(9)

Description: Every 60 days/Written record

Noncompliance Area: During renewal inspection on Wednesday, 11/29/23, facility failed to have verification that a fire drill was conducted at least once every 60 days.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days. The operator or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that a written record is maintained on file at the facility indicating the specific time of day of the drill, the hypothetical location of the fire, the evacuation time, and the names of the facility persons and the number of children who participate in the fire drill.

Regulation: 3290.95(a)/3290.95(b)

Description: System in compliance/Operator or designated staff responsibility

Noncompliance Area: In review of fire safety documents, facility failed to have tested their smoke detection system once every 30 days and document testing.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Regulation: 3290.95(b)

Description: Operator or designated staff responsibility

Noncompliance Area: At the time of the renewal inspection on Wednesday, 11/29/23, provider failed to have interconnected smoke detectors installed in the facility.

Correction Required: The operator or designated staff person who is responsible for compliance with this chapter shall ensure the requirements in § 3290.95(a) are met.

Noncompliance Area: During the inspection on 11/13/19 the file records for Child #1 and Child #5 did not include signed parental consent for administration of minor first-aid procedures by facility staff.

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: During the inspection on 11/13/19 the file record for Child #4 did not include the address of the individual designated by the parent to whom the child may be released.

Correction Required: Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

Noncompliance Area: During the inspection on 11/13/19 the file records for Child # 1, Child #2, Child #3, Child #4 and Child #5 did not include a health assessment that included a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Correction Required: A health report shall include a statement that the child is able to participate in child care and appears to be free from contagious or communicable disease.

Noncompliance Area: During the inspection on 11/13/19 the file records for Child #1, Child #2, Child #3, Child #4 and Child #5 did not include a health assessment that included a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Correction Required: A health report shall include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted since the time of the previous health report required by this section.

Noncompliance Area: During the inspection on 11/13/19 the file record for Child #1, Child #2, Child #3, Child #4 and Child #5 did not include a review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Noncompliance Area: During the inspection on 11/13/19 the file records for Child #1 and Child #5 did not include signed parental consent for emergency medical care for the child

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: During the inspection on 11/13/19 the file records for Staff Person 1 did not include current first aid training.

Correction Required: Competence in first-aid is demonstrated by the completion of training by a professional in the field of first-aid. First-aid training shall be renewed on or before expiration of certification or every 3 years, as applicable.

Noncompliance Area: FILE RECORD FOR CHILD #5 DID NOT INCLUDE AN AGREEMENT SIGNED BY THE ENROLLING PARENT

Correction Required: An agreement shall be signed by the operator and the parent.

Noncompliance Area: FILE RECORD FOR CHILD#5 DID NOT INCLUDE HEALTH INSURANCE POLICY NUMBER

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: THERE WERE NOINDIVIDUAL FILE RECORDS FOR CHILD #1 AND CHILD #2

Correction Required: An operator shall establish and maintain an individual record for each child enrolled in the facility.

Noncompliance Area: FILE RECORD FOR CHILD #3, CHILD #4, CHILD #5 AND CHILD #6 DID NOT INCLUDE SIGNED CONSENT FOR EMERGENCY MEDICAL CARE

Correction Required: A child's record must contain signed parental consent for emergency medical care for the child. Written consent is required prior to admission.

Noncompliance Area: FILE RECORD FOR CHILD #3, CHILD #4, CHILD #5 AND CHILD #6 DID NOT INCLUDE SIGNED CONSENT FOR ADMINISTRATION OF MINOR FIRST AID

Correction Required: A child's record must contain signed parental consent for administration of minor first-aid procedures by facility staff. Written consent is required prior to admission.

Noncompliance Area: FILE RECORDS FOR CHILD #3 AND CHILD #6 DID NOT INCLUDE A COPY OF THE INITIAL OR SUBSEQUENT AGREEMENT

Correction Required: A child's record must contain a copy of the initial agreement and subsequent written agreements between the parent and the operator. The parent receives the original agreement.

Noncompliance Area: FILE RECORD FOR STAFF #1 DID NOT INCLUDE ANNUAL EMERGENCY PLAN TRAINING

Correction Required: The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan.

Noncompliance Area: FILE RECORD FOR STAFF #1 DID NOT INCLUDE CHILDCARE TRAINING

Correction Required: A staff person shall obtain an biennial minimum of 12 clock hours of child care training.

Noncompliance Area: CERTIFICATION REPRESENTATIVE OBSERVED TOXIC MATERIALS (AIR FRESHERNER, COMET, ALL PURPOSE CLEANER0 ACCESSIBLE IN THE FACILITY BATHROOM

Correction Required: Cleaning materials and other toxic materials shall be stored in an original labeled container or in a container that specifies the content. Toxics shall be kept in a locked area or in an area inaccessible to children, and shall be stored away from food, food preparation areas and child care spaces.

Noncompliance Area: At the time of the renewal inspection, the family provider did not have a plan identifying the means of transporting a child during an emergency posted.

Correction Required: A written plan shall be conspicuously posted which identifies the means of transporting a child to emergency care and the facility staffing provisions in the event of an emergency. The plan must accompany a staff person who leaves the facility on an excursion with children.

Noncompliance Area: During a review of the children's records at the time of the renewal inspection, Child #1, #2, #3, and #4 did not have Emergency Contact forms or Agreements that had been updated within the last 6 months.

Correction Required: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.